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barcafan1990
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kfelb Offline OP
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I been using AC for about 1 month. My office is an urgent care and I treat patient with opioid dependence with Suboxone. Some of these patients are seen just for suboxone. Others are seen for suboxone and other illnesses. I keep these patient charts seperate from our general charts. If the patient has a general chart and a suboxone chart they are kept seperate because of the added privacy needed. I have not used AC for these patients yet. I was wondering if anyone was and how you did it. Thanks Karl


Karl Felber DO
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I did something similar for cosmetic patients in my practice. I simply created a separate chart with the prefix attached to the last name that made sense- in your case, perhaps, SUB-.

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As a pain doc, I have a fair number of ligitimate suboxone pts. I'm not sure why you feel the need to treat your suboxone pts differently as far as charting than your other pt. Having a seperate charting system for suboxone pts. invcreases the risk of paper-work/charting errors, lost charts, etc.
Also I think you should check with your local DEA office. They might not like you treating suboxone pts differently than your other pts you prescribe narcotics to. A good number of the suboxone pts pay in cash, ask your accountant if it wise to have those numbers on the side, seperate from other pts., and not attract the attention of the IRS.

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I agree. I apply the same privacy requirement with my Suboxone clients that I do my other patients with the exception of keeping a separate log of name and when started so I don't exceed my numbers.


Bill Sullivan
Private practice psychiatry
Sierra Vista, AZ

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